PT  - JOURNAL ARTICLE
AU  - Claire Alexandra Ostertag-Hill
AU  - Yihong Wang
AU  - Stana Nickolich
AU  - Doreen L Wiggins
TI  - Bloody nipple discharge due to intraductal papilloma in an adolescent girl
AID  - 10.1136/bcr-2022-254177
DP  - 2023 Mar 01
TA  - BMJ Case Reports
PG  - e254177
VI  - 16
IP  - 3
4099  - http://casereports.bmj.com/content/16/3/e254177.short
4100  - http://casereports.bmj.com/content/16/3/e254177.full
SO  - BMJ Case Reports2023 Mar 01; 16
AB  - An early adolescent girl was referred to our breast surgery clinic with multiple right-sided breast masses and several months of unilateral bloody nipple discharge. MRI demonstrated multiple enhancing masses in the right breast with intrinsic hypertensive T1 signal of the ducts extending to the nipple. A biopsy showed partially sclerosed intraductal papillomas without atypia or malignancy. Following extensive counselling with the patient and her family, two palpable breast masses and a single central breast duct responsible for bloody nipple discharge were fully excised. Histopathological analysis showed unique overlapping features of resembling intraductal papilloma, nipple adenoma and fibroadenomas. The patient has had resolution of her bloody nipple discharge and excellent cosmetic outcomes post-surgery. Intraductal papilloma is rare in the adolescent population and the risk of concurrent and future malignancy is not well established. Thus, a tailored approach to the work-up and management of paediatric breast masses is essential.